Submit a Case Management Referral

Thank you for submitting a referral through IMO’s online submission process!

Please prepare for the following steps:

1) Service(s) Requested
2) Claim Profile
3) Online Referral Instructions & Claim Issues
4) Referred By Information
5) Record Delivery & Attachments

NOTE: Type N/A for any information not applicable or available at time of request. If you have any questions please call 877.742.4477.

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